Physician Compare National (NPI:1679746176)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679746176
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264583707
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090624000185
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DELANEY
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	FORDHAM UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	22 STEEPLE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2053
	Group Practice or individual's line 2 address
City	MASHPEE
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	026493287
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9788542123
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y